The client is a 50-year-old, Latino who identifies as a gay male. Throughout this paper, I will refer to him as Jorge. He has been HIV-positive for 15 years and reports to have experienced problems with addiction to various substances since his mid-twenties. Within the past ten years, he has experienced cumulatively harsher consequences as a result of his drinking and drug use. He has been arrested 16 times, has been involved in 3 car wrecks, has received 3 DUIs, and at one point, served 6 months in jail. He reports that last Thanksgiving weekend he overdosed on heroin while thinking he was consuming crystal meth. Having survived that overdose has prompted him to seek recovery
The client is grateful to have a supportive family. Being one of eight, he and his siblings are fairly close and have good relationships. The client mentioned a family history of drug and
Mental health counselors have many things to consider when working with clients. Providing services to clients comes with several expectations. Some of the factors which counselors must be aware of include: cultural differences, environmental influences, client expectations, and stages of development which can all play a part in the needs of that particular client. Also included in this group of factors that must be considered are the ethical and legal responsibilities which play a vital role in the
The client has multiple individual risk factors that are exacerbated by the lack of support in her micro- and macrosystem. She does not mediate variables in her guidance counselor and the connections she has made at the youth serving agency, however, these systems are not as constant as the school environment, and the estrangement from her parents. Depression and suicide risk for Heather is high, but not imminent. Further assessment needs to be done at the individual level the micro level (homophobic/heterosexist, experiences at school, within previous mental health care, and in her family) and the macro level (what is the culture/climate under which heather is operating and what can be done to “treat” the environment as heather is getting psychotherapy). Thus, a talented and affirming therapist would capitalize on the guidance counselor and agency support, and work on secondary prevention strategies in the school and foster care environment, while simultaneously providing therapeutic interventions to
Robbie J. is a 19 year old African American male and at this time he is currently a freshman at Henderson County University. The client has been referred to this office by his school residential advisor and family doctor. The reason behind this is that the client has not been attending his college classes and has been caught drinking on campus by campus security three times in the past two months. His parents have been advised by the school that if the client doesn’t attend counseling sessions he will be asked to leave and not return back for the following academic school year. The client must attend five sessions and also join an A.A. group.
The major theoretical perspectives provide a framework for understanding and conceptualizing client’s current mental health issues and the potential contributory factors in the development of their problems. The present client, Toni Barone, is seeking treatment for her current unhappiness with her life, social isolation, and bereavement issues stemming from her father’s death.
My patient?s name is John T, age 41 was admitted to Bournewood Hospital in Brookline, MA. on September 16, 2015. He was severely depressed about his past and he started having suicidal ideals. John grew up with a mother, father and sister in Portsmouth, New Hampshire. They didn't have much money and his father was the only one paying bills while his mother was a housewife. John explained that living with his family was very uncomfortable. His father was a very mean and angry man; no one got along with him and everyone feared him. Being Italian, the meal must be plated once the husband got home. With that said, one day his father got mad at his mother about not having dinner on the table on time; things turned for the
As a 15-yearold “at risk” adolescent, Manual recently reported feeling extreme depression and admitted that he no longer cared about living. In order to provide useful counseling support to Manuel, J. McWhirter, B. McWhirter, E. McWhirter, and R. McWhirter (2013) provide a list of legal and ethical considerations that serve as a guidelines during interventions. These suggestions include counselors’ documenting the incident and any intervention methods, consulting with colleagues in order to provide sound counsel, encouraging staff members to be considerate and professional within their communication, reaching out to the adolescents’ families, and keeping current with professional
The client is a young, White-American, Christian, male. He most likely come from lower middle class (currently unemployed and used to work in a local furniture store). He is a single man, but his sexual orientation, romantic and sexual relationships are not mentioned in the report. Considering his particular cultural elements, he is in advantageous situation in some part such as, ethnicity, sex, religion and age. Thus, he is not likely to feel “extra” oppression due to his metal health and alcohol use problems. However, his comes from low SES and has a mental disability (therefore, he become eligible to Medicare), these probably negatively influence his mental health progression. For example, he is not able to access his former psychiatrist due to his current insurance. When it comes to his spirituality, even though his father is a religious man, the client does not seem to be interested in spiritual issues. However, his father’s strong spirituality would be beneficial for both. Since, the client’s father, as a main social support source, his mental and physical health is also vital for Tom. In fact, his father plays a critical role in Tom’s life.
The following information was obtained by shadowing interviews and therapy sessions with numerous mental health professionals and the client, John Doe. John Doe is a 46 year-old, newly single, Caucasian male who was recently admitted to Chestnut Ridge Center’s Day Hospital,
My client name is Jaylynn Mars an 18 year old from Camden, New Jersey. Jaylynn Mars was just enrolled into a summer program at Morgan State University to get an early jump towards her college career. Jaylynn was neglected as a child by her mother and was raised by her father that was addicted to crack cocaine. Growing up Jaylynn was sexually abused by her father best friend. This accident resulted in the state ruling her grandmother into custody. Jaylynn had depression issues and problems with maintaining any relationship. Her first encounter of opening up was her first boyfriend which she became extremely attach to him. Several weeks before Jaylynn entered the summer program she found out she was pregnant by her boyfriend that was the age 25.
The client’s name is Jose, a male, single, eighteen years old, Latino and a high school student. He is currently attending a nontraditional high school to complete the required credits to receive his high school diploma. Jose was dismissed from his previous high school because he was failing all of his classes. While reviewing his transcripts it can be evaluated that the student has struggled with academic performance since he entered high school. Jose was scheduled to graduate last June, but failed most of the required courses. The client was referred to mental health counseling because he wrote negative comments about classmates in a free style writing assignment. On assignment, the client talked about how upset he
K.P. is a 22-year-old Caucasian male with a history of depression, presented to the emergency room by himself, after he told his pastor, spiritual counselor, that he was having increasing suicidal ideations with a plan. K.P reports that he has suicidal depression and that he wanted to die. Upon evaluation, he was then sent to the nearest inpatient psychiatric facility for further treatment and crisis and stabilization. His is the only child and his parents got divorced in 2011. He is a student at the University of California, Davis, majoring in psychology. He is living in a residence provided by his pastor, and his mother is supportive. He reports that his father is a self-righteous, mean individual, and does not have any contact with
Scenario: Angela is a 16-year-old sophomore referred by a teacher who states that she is not functioning well in class and appears to be depressed. During the initial session with Angela, there was an assessment of Angela’s suicidal thoughts. Angela admits that she has had suicidal feelings off and on for the last few months since she broke up with her boyfriend. She said that they had sex and that she is now feeling remorse and guilt, because it is against her family values. She also believes it is her fault that they broke up.